Department of Internal Medicine, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
Gut Liver. 2010 Jun;4(2):278-82. doi: 10.5009/gnl.2010.4.2.278. Epub 2010 Jun 16.
We describe a 39-year-old man with spontaneous rupture of a gastric stromal tumor causing hemoperitoneum. Ultrasonography showed a large mass broadly abutting the stomach and liver. Computed tomography demonstrated a heterogeneous enhanced mass arising from the stomach and focal perforation of the tumor with hemoperitoneum; endoscopic ultrasonography showed an exophytic heterogeneous mass originating from the gastric muscle layer. Angiography revealed that the right gastric artery was the main artery supplying the tumor. A gastric stromal tumor with bloody fluid in the peritoneal cavity was seen at the laparotomy. The tumor was excised completely, and subsequent histological and immunohistochemical studies indicated that it was a gastric stromal tumor. We report a relatively rare case of gastric stromal tumor causing hemoperitoneum due to spontaneous rupture of the tumor.
我们描述了一例 39 岁男性患者，其自发性胃间质瘤破裂导致血腹。超声检查显示胃和肝脏广泛贴靠的大肿块。计算机断层扫描显示起源于胃的不均匀强化肿块，肿瘤局部穿孔伴血腹；内镜超声检查显示起源于胃肌层的外生性不均匀肿块。血管造影显示右胃动脉是肿瘤的主要供血动脉。剖腹探查时见腹腔内有血性液体的胃间质瘤。肿瘤被完全切除，随后的组织学和免疫组织化学研究表明这是一种胃间质瘤。我们报告了一例相对罕见的胃间质瘤自发性破裂导致血腹的病例。
